Lefevres Corner: finding an independent CTP lawyer

Think of a CTP lawyer as someone who steps in where the rules get contested. During the statutory benefits stage, that might mean challenging a decision about payments, treatment or the threshold classification. During a damages claim, it usually means gathering evidence, arranging medical assessments and negotiating with the insurer. Between those two points sits a lot of routine claim activity that many people handle themselves.

Much of a lawyer's early work is reading. They go through the claim form, your Certificates of Fitness and every decision letter, then work out which rules fit your accident date and what, if anything, is worth challenging. Sometimes the honest advice is that the claim is on track and needs nothing more from them. That is a useful answer too, and a good lawyer will give it plainly.

Recovering from an injury is hard enough without travelling to meetings. CTP work suits remote contact well. Much of a claim happens on paper and by phone, from the first review request to negotiations with the insurer, so many people deal with the whole process without ever sitting in a lawyer's office.

The clearest sign is a decision you disagree with. A refused claim, a threshold classification, a finding that you were mostly at fault, or payments that suddenly stop all have review pathways and deadlines. The internal review window is generally 28 days from receiving the decision, so it pays to get advice quickly rather than waiting to see what happens next.

If you were wholly or mostly at fault, there's generally no damages claim to make, and statutory benefits are generally limited to the first 52 weeks. Unless you dispute the fault finding, a lawyer may add little: the insurer pays what the scheme allows, and SIRA's free CTP Legal Advisory Service can answer statutory benefits questions. It's different if you think the fault decision is wrong, because that finding shapes everything else.

SIRA pays for a free CTP Legal Advisory Service that answers statutory benefits questions about accidents since 1 December 2017, and CTP Assist on 1300 656 919 can put you through to it. It's a sensible first stop when you're unsure whether a decision about your benefits is right. Where its help stops is usually where an independent lawyer comes in, and our claim check can tell you whether you've reached that point.

Legal costs in NSW CTP claims are tightly regulated. In a statutory benefits claim, costs can only be recovered where the Motor Accident Injuries Regulation or the Personal Injury Commission allows it, the insurer is the one who pays them, and some disputes allow no recoverable costs at all. In a damages claim, the most a lawyer can charge is capped by the same Regulation. The caps are indexed each year, which is why we don't quote figures.

If a decision has gone against you, the internal review window is generally 28 days from receiving it. That's the deadline people most often miss while they wait to see whether the insurer changes its mind. Outside 3 months for statutory benefits and still haven't claimed? Speak to a lawyer straight away, because late claims are accepted only in limited circumstances.